Individual provider Active NPI

Kyle R Younger, D.C.

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1215967807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104967 Issued in KS
Practice address
11960 Quivira Rd
Suite 200
Overland Park, KS 66213-2222
Phone
(913) 402-7444
Fax
(913) 402-7450
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104967 KS Primary

Addresses

Primary practice location

11960 Quivira Rd
Suite 200
Overland Park, KS 66213-2222

Mailing address

1016 S Lindenwood Dr
Olathe, KS 66062-2334
Phone (913) 908-1302

Other identifiers 2

IdentifierTypeStateIssuer
9408529OtherKSPHCS PROVIDER
35511019OtherKSBC/BS PROVIDER NO.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050428000467 KS Practitioner - Chiropractic 2769421817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Chiropractic, PAGroup PAC ID 0042259194, 2 clinicians

Practice addresses (Care Compare)

5001 College Blvd
Suite 210
Leawood, KS 66211-1772
Phone (913) 402-7444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104967KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Chiropractic, PA Chiropractor CurrentSince Mar 2, 2005 Accepting new patients

Locations

5001 College Blvd
Ste 210
Leawood, KS 66211
Phone (913) 402-7444

11960 Quivira Rd
Ste 200
Overland Park, KS 66213
Phone (913) 402-7444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215967807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S LINDENWOOD DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660622334",
            "telephone_number": "913-908-1302",
            "fax_number": "913-402-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 QUIVIRA RD",
            "address_2": "SUITE 200",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132222",
            "telephone_number": "913-402-7444",
            "fax_number": "913-402-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "KYLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER",
            "identifier": "9408529",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NO.",
            "identifier": "35511019",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.